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Dr. Melvin Law demonstrates the benefits of using the Aquamantys System from Medtronic Advanced Energy in lumbar fusion spine surgery. The Aquamantys System uses patented Transcollation technology, which provides hemostatic sealing of soft tissue and bone during surgery.

SPEAKER: We reflect the subcutaneous tissue off the fascia with the Cobb elevator. This makes it easier to close the fascia back together. Here we're pre-treating the muscles as we subperiosteally dissect the muscles off the spinous process just to expose the spine. The assistant pre-treats and suctions as the spine is exposed. We're packing a lap sponge into the space to also help with hemostasis. The Bovie is used for dissection of the initial fascial layer. The Aquamantys is used to pre-treat. This is sort of a tag team approach, where the assistant pre-treats to decrease the blood loss from the dissection. Here, the assistant is pre-treating the facet articular region, also obtaining hemostasis and pre-treating the vessels around the facet joints prior to dissection and exposure of the facet joint capsules, allowing the surgeon to be more efficient and to concentrate on exposure, and to concentrate less on having to achieve hemostasis himself. The wound is packed off and the dissection is carried on the opposite side to further expose the lamina, the ligamentum flavum in the facet joint capsules, and to expose out to the transverse processes. A second assistant can increase efficiency. Another option is two surgeons, one for each side of the spine, and the assistant using the Aquamantys to pre-treat. Again, the facet joint capsules on the opposite side are pre-treated and these can then be dissected with very minimal blood loss. Before Aquamantys, surgeons had to find each bleeder, Bovie it, and the bleeder may reopen. With the Aquamantys, this is much easier and more efficient. Excess tissue is removed off of the posterior lamina. We brushed the device across the tissue, much like an artist brushing across a canvas. The advantage of the Aquamantys is more efficient hemostasis. It covers a much broader area in a much more rapid period of time. It also allows the assistant to pre-treat before the surgical dissection is carried out. This facilitates a more rapid dissection and exposure of the spine, because there's less blood loss from the exposure. Quick summary of the places the device is used. The Aquamantys is used to pre-treat the lumber fascia when reflecting the subcutaneous tissue off of the lumbar fascia. The interval between the spinous processes and periosteum is also pre-treated to achieve hemostasis for the subperiosteal dissection of the spinous processes, where the muscles reflected off the spinous process. The lamina is then pre-treated, and the dissection carried out to reflect the paraspinous muscles off the lamina. The facet joint capsules have been pre-treated in the peri-articular region. The areas superior, lateral, and inferior to the facet joint capsule was pre-treated to allow dissection of the facet joint capsule and exposure of the transverse process in order to minimize blood loss during the exposure of the spine. But.